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APPLICATION FOR ELECTRICAL r ERMIT <br /> 4 zrrr CITY OF EVEREST <br /> BUILDING DIVISION <br /> 1200 CEDAR STREET <br /> 259-8810 <br /> EVERETT, MA 98201 <br /> A�) <br /> wncr L �'Zr+ f/�N-wt �yy�y /J.+Y - ^-O6 /W• � lt/r '18V07 l 2-3 2! <br /> Mait Addre a "�— ty tate <br /> /Zip hone <br /> enantMail Address <br /> City tate 1p Phone <br /> .F¢Gc« � ,5 „v �, / �v t1 8200 �s Secr�esti�6D� <br /> E�t�'—AAon actCYr"-`ar'—FIeTT- d L' ty ate �p�� one tate tcense�- <br /> 2 00 _m 5� V, f� <br /> ontract r ce o 'or roposed of u d ng <br /> Pro ect dress <br /> Discription of Work To Be Done: <br /> hL <br /> NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> ,CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE ROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X cx-x <br /> Signat � �� Date <br />